Individual
MRS. LAYNE KATHERYNE HOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
45 E. LOUCKS ST., SHERIDAN, WY 82801
(307) 675-1805
(307) 675-1809
Mailing address
P.O. BOX 1035, SHERIDAN, WY 82801
(307) 675-1805
(307) 675-1809
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-958
WY
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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